Cambria Bicycle Outfitter FAX ORDER FORM
Fill-out this form, then fax to us at 1-805-927-5174
SHIP
MY COOL NEW STUFF TO:
NAME:
COMPANY:
ADDRESS:
CITY/STATE/PROVINCE:
ZIP/POSTAL CODE:
COUNTRY:
FAX:
E-MAIL:
MY CREDIT
CARD BILL IS RECEIVED AT: (if different from above) NOTE: For the security
of your credit card, we only ship
NEW
CUSTOMER
orders
to
the
same
address
that
the
credit
card
statement
is
mailed
to.
Once
you
have
a
history
with
us,
we
can
offer
more
options. SHIP MY COOL NEW STUFF TO:
NAME:
COMPANY:
ADDRESS:
CITY/STATE/PROVINCE:
ZIP/POSTAL CODE:
COUNTRY:
PAYMENT METHOD: CREDIT CARD TYPE (Check One):
VISA
MASTERCARD
DISCOVER
CREDIT CARD #:
EXPIRATION DATE:
ISSUING BANK:
NAME AS IT APPEARS ON CARD:
THE STUFF YOU'D LIKE US TO SEND YOU: QUANTITY DESCRIPTION PRICE
($) TOTAL
SUBTOTAL
$ $ CALIFORNIA
RESIDENTS
ADD
7.25%
SALES
TAXNo
Tax
on
Orders
Shipped
outside
of
California $ ORDER TOTAL: (Incl.
any appropriate shipping & tax) $